Failure to Develop Care Plan for Anemia
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan for a resident diagnosed with anemia. The resident, identified as R314, was admitted with a diagnosis of anemia, which involves a reduced ability of the blood to carry oxygen due to a lack of healthy red blood cells. A physician's note dated November 20, 2024, referenced a critical hematology report from November 15, 2024, and instructed the facility to monitor the resident's hematocrit and hemoglobin levels, consider a blood transfusion if hemoglobin drops below 7.0, and monitor for signs of fatigue, impact on therapy, oxygen use, and check pulse oximetry as needed. Despite these instructions, the facility did not develop a care plan addressing the resident's anemia diagnosis, leading to a deficiency in meeting the resident's care needs.
Plan Of Correction
This plan of correction is submitted to comply with Federal Regulations. This plan is not an admission of guilt, or wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies. Resident's R314 care plan was developed to address needs related to a diagnosis of Anemia. An audit of all residents with a diagnosis of Anemia was completed to ensure there are care plans present to address needs related to Anemia. Education will be done for Nursing staff to ensure that residents with a diagnosis of Anemia have care plans developed. DON/Designee will audit the charts of all new admissions and any residents with a new diagnosis of Anemia to ensure they have comprehensive care plans developed. Audits will be done weekly x4 weeks and monthly x2 months. Results of these audits will be reviewed at the Quality Assurance Meeting to determine if further action is needed.